I find cognitive-behavioral therapy (CBT) and play therapy particularly effective for children and adolescents. CBT helps them reframe negative thought patterns, while play therapy allows younger clients to express emotions nonverbally. I also incorporate trauma-focused techniques for those with adverse experiences, ensuring age-appropriate interventions. Flexibility is key, as developmental stages vary widely in this population.

I prioritize creating a safe, nonjudgmental space by using their interests (e.g., games, art) as engagement tools. Active listening and validating their feelings—even resistance—helps establish trust. I explain confidentiality clearly and proceed at their pace, often letting them lead initial sessions. Humor and collaborative goal-setting also reduce power dynamics that can trigger resistance.

I regularly coordinate with schools through IEP meetings and teacher consultations to ensure consistency in behavioral strategies. With families, I use psychoeducation to help them support therapeutic goals at home while respecting cultural differences. Multidisciplinary teamwork is essential—I’ve partnered with pediatricians and social workers to address holistic needs, always maintaining clear communication and boundaries.

I use standardized screening tools (e.g., PHQ-9 for adolescents) paired with clinical interviews, observing both verbal and behavioral cues. Questions are direct but framed empathetically, such as, 'Many kids feel so sad they think about hurting themselves—has that ever happened to you?' I document disclosures meticulously and follow mandatory reporting protocols while ensuring the child feels supported throughout the process.

I establish clear boundaries from intake by outlining my role and confidentiality limits. While showing empathy, I avoid dual relationships (e.g., attending personal events) and maintain structured session times. For transference/countertransference, I engage in regular supervision. Self-care practices like mindfulness help me stay emotionally balanced to provide consistent, ethical care.